{
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"EIN": null,
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"OrgName": "ROBIN R. MINICK",
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"FirstLineMailingAddress": "PO BOX 596",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WAYNESVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28786-0596",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "828-246-9751",
"MailingAddressFaxNumber": "182-864-9716",
"FirstLinePracticeLocationAddress": "66 WALNUT ST",
"SecondLinePracticeLocationAddress": "SUITE 4",
"PracticeLocationAddressCityName": "WAYNESVILLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28786-3283",
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"PracticeLocationAddressTelephoneNumber": "828-246-9751",
"PracticeLocationAddressFaxNumber": "182-864-9716",
"EnumerationDate": "12/16/2016",
"LastUpdateDate": "12/16/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MINICK",
"AuthorizedOfficialFirstName": "ROBIN",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "LICENSED PROFESSIONAL COUNSELOR",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPC, NCC, CCMC, GC-C",
"AuthorizedOfficialTelephoneNumber": "828-246-9751",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "8937",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}